ATI Leadership Proctored

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What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

  • A. Select flat-soled leather shoes
  • B. Apply heating pads on a low temperature.
  • C. Avoid using callus remover for corns or calluses.
  • D. Refrain from soaking feet in warm water for an hour each day.
Correct Answer: A

Rationale: The correct answer is A: Select flat-soled leather shoes. This choice is important for a patient with peripheral arterial disease, type 2 diabetes, and sensory neuropathy as it helps prevent skin breakdown, reduce pressure on the feet, and minimize the risk of injury due to decreased sensation. Flat-soled leather shoes provide good support and protection.

Explanation for why the other choices are incorrect:
B: Apply heating pads on a low temperature - This can be dangerous for a patient with sensory neuropathy as they may not be able to feel if the heating pad is too hot, leading to burns.
C: Avoid using callus remover for corns or calluses - While it is important to avoid injuring the skin, addressing foot care is not as critical as selecting appropriate footwear.
D: Refrain from soaking feet in warm water for an hour each day - Prolonged soaking can increase the risk of skin breakdown and infections, so it is important to avoid this practice.

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A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?

  • A. Blood pressure 144/82 mm Hg
  • B. Urine specific gravity 1.03
  • C. Neck vein distention
  • D. Urine specific gravity 1.01
Correct Answer: A

Rationale: The correct answer is A. The elevated blood pressure of 144/82 mm Hg indicates dehydration due to vomiting and diarrhea, leading to hypovolemia. This is a compensatory mechanism by the body to maintain perfusion. Option B, urine specific gravity of 1.03, indicates concentrated urine and dehydration, but not as specific as elevated blood pressure. Option C, neck vein distention, is more indicative of heart failure or fluid overload rather than dehydration. Option D, urine specific gravity of 1.01, indicates diluted urine and is not consistent with dehydration. Therefore, based on the symptoms and the compensatory mechanism of the body, an elevated blood pressure is the most likely finding in a client with vomiting and diarrhea.

Which of the following is an example of a secondary prevention strategy?

  • A. Administering flu vaccinations
  • B. Screening for hypertension
  • C. Performing a mastectomy
  • D. Providing rehabilitation after surgery
Correct Answer: B

Rationale: The correct answer is B: Screening for hypertension. Secondary prevention aims to detect and treat a disease in its early stages to prevent further progression. Screening for hypertension helps identify individuals at risk and enables timely intervention to prevent complications. Administering flu vaccinations (A) is an example of primary prevention. Performing a mastectomy (C) is a treatment method for existing breast cancer, falling under tertiary prevention. Providing rehabilitation after surgery (D) focuses on restoring function post-treatment, also part of tertiary prevention.

Which of the following best describes the ethical concept of values?

  • A. Values are an individual’s feelings about situations.
  • B. Values are learned through family systems.
  • C. Values are organized ways of thinking about the meaning of life.
  • D. Values determine the rightness or wrongness of behavior.
Correct Answer: C

Rationale: The correct answer is C because values are indeed organized ways of thinking about the meaning of life. Values represent core beliefs and principles that guide an individual's behavior and decision-making. They provide a framework for understanding what is important and meaningful in life.

A is incorrect because values are not just feelings but rather deeply held beliefs. B is incorrect as values can be influenced by family systems but are not solely learned through them. D is incorrect because while values can inform moral judgments, they themselves do not determine the rightness or wrongness of behavior.

In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?

  • A. Avoidance
  • B. Withdrawal
  • C. Suppression
  • D. Competition
Correct Answer: C

Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.

One of the most useful tools to determine reasons for turnover is:

  • A. Questioning.
  • B. Surveys.
  • C. Employee forums.
  • D. Telephone calls.
Correct Answer: B

Rationale: The correct answer is B: Surveys. Surveys are structured tools that allow for systematic collection of feedback from employees, providing quantitative and qualitative data on reasons for turnover. They offer anonymity, encouraging honest responses. Questioning (choice A) may not provide a comprehensive view, as it relies on informal conversations. Employee forums (choice C) may not capture individual perspectives effectively. Telephone calls (choice D) are not scalable for large organizations and lack the anonymity of surveys. In summary, surveys are the most effective tool for gathering in-depth insights into reasons for turnover.

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